<!DOCTYPE html >
<html>

	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
		<meta name="format-detection" content="telephone=no">
		<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
		<title>浙商保险 - 填写投保信息</title>
		<link type="text/css" rel="stylesheet" href="css/style.css" />
		<link type="text/css" rel="stylesheet" href="css/caninfor.css" />
		<link rel="stylesheet" type="text/css" href="css/common.css">
		<script type="text/javascript" src="js/jquery-1.11.1.min.js"></script>
		<script src="js/style.js"></script>
		<script type="text/javascript" src="js/date.js"></script>
		<script type="text/javascript" src="js/iscroll.js"></script>
		<script type="text/javascript">
			$(function() {
				$('#beginTime').date();
				$('#endTime').date({
					theme: "datetime"
				});
			});
		</script>
		<script type="text/javascript" src="js/car-size.js"></script>
	</head>

	<body>
		<div class="menages"><i></i>客户信息</div>
		<div class="basic manager-div margin-b5">
			<div class="title_text">
				企业名称
				<span>浙商饭店</span>
			</div>
			<div class="title_text">
				营业执照/信用代码
				<input type="text" value="请填写营业执照号码" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}" />
			</div>
			<div class="title_text">
				发票抬头
				<input type="text" value="浙商保险" onfocus="if(value == defaultValue){value='浙商保险';this.style.color='#666'}" />
			</div>
			<div class="title_text">
				联系人
				<input type="text" value="请输入联系人" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}" />
			</div>
			<div class="title_text">
				电话号码
				<input type="tel" value="请输入电话号码" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}" />
			</div>
			<div class="title_text">
				电子邮箱
				<input type="text" value="请输入电子邮箱" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}" />
			</div>
			<div class="title_text">
				起保日期
				<div class="demo">
					<div class="lie"><input id="beginTime" class="kbtn select-srea" placeholder="请选择保险开始时间" /></div>
				</div>
				<div id="datePlugin"></div>
			</div>
			<div class="title_text">
				结束日期
				<span>2016/7/29/二十四时止</span>
			</div>
		</div>
		<div class="information line-ht color-font-6">
			<b class="color-font">*</b>本产品仅提供电子发票，电子发票为增值税普通发票，如需增值税专用发票，请您联系我司客服电话：0571-28088239（周一至周五上午9:00-11:30，下午13:30-17:30，法定节假日除外）。。
		</div>
		<div class="height44"></div>
		<div class="bottom-can">
			<a class="cancer-submit">下一步</a>
		</div>

	</body>

</html>